OptiMed

With this basic health insurance model, you choose a doctor from one of the OptiMed lists and save up to 26%


A doctor member of a medical network as your first point of contact

This model is particularly interesting if you are looking for a new family doctor. It allows you to choose a doctor from one of the OptiMed lists: this doctor then becomes your first point of contact. You must always consult this doctor first in all medical matters.

A solid network at the service of your health: these are your advantages

  • You benefit from a reduction in your premiums of up to 26% compared with the standard model.
  • You benefit from the sharing of experience between doctors who belong to the same network.
  • OptiMed makes it easy for you to choose a new regular family doctor or to choose our telemedicine partner (Medgate) as your family doctor.(1) 
  • What's more, you always have the option of having (optional) deductible-free teleconsultations via the platform www.soignez-moi.ch.(1) 

How does OptiMed work?

If your doctor refers you to a specialist, you will need to send a referral voucher to Groupe Mutuel.
This document can be sent very easily from your Customer Area or by email to prestations@groupemutuel.ch

You can go directly to the doctor of your choice or to a specialist in the following cases:

  • In case of an accident or emergency You'll find more information in the FAQs at the bottom of this page.
  • For gynaecological check-ups and treatments and those related to pregnancy and childbirth.
  • For ophthalmological, dental and paediatric check-ups and treatments.

SIf you wish, you can receive medical advice by telephone or videoconference, using the platform www.soignez-moi.ch, regardless of who your family doctor is. Thanks to OptiMed, these teleconsultations are deductible-free(1) .

And if you haven't chosen our telemedicine partner Medgate as your family doctor, you can still call them for free medical advice over the phone, 24/7 on 0848 803 308 (8 cts./min.)(1) .

(1) New benefits available from 1 January 2025.

A solution for every situation

Here is  a  concrete example of how the OptiMed model can be used

Carla
Carla, aged 35,has a number of health problems and has to make frequent visits to the doctor.

First point of contact
Carla had been feeling exhausted for several weeks. She makes an appointment with her long-standing family doctor, with whom she has developed a relationship of trust.

Treatment
Carla's doctor is aware of her situation and quickly identifies the cause of her symptoms. He adapts her medication and refers her to a specialist.

Conditions that are easy to follow

  • 1. If you have a medical problem or question, your first point of contact is always the family doctor you have indicated to us beforehand. For adults, the family doctor you choose must appear on one of the OptiMed lists. For children, the general practitioner may be chosen as you wish, but you need to send us the doctor’s details.
  • 2. If necessary, the doctor will refer you to a specialist or a medical facility.
  • 3. In case of emergency and some other situations, you do not need to comply with the requirements of your model. You can find more information in the section “How the OptiMed model works” above.

If the conditions of the model are not followed:

Letters concerning your insurance model will be sent to you and a transfer to the standard basic insurance model may be made, in accordance with the terms and conditions of insurance. The reduction applied to your premiums will unfortunately no longer be granted until the end of the year in question, but you will benefit from a free choice of doctor.

Geneva: New benefits with the Delta Santé network thanks to OptiMed

If your family doctor is a member of this network (information available on the lista OptiMed Geneva), you can benefit from exclusive advantages:

  • Free access to care provided by nurses at the Delta Santé health stops
  • Consultations with GPs who are members of Delta Santé without co-payment.
  • Follow-up programmes for some chronic illnesses.
  • An online health platform, with exclusive access to useful courses and information to stay in shape

Discover all the advantages

List of OptiMed general practitioners by canton

Request advice

Do you have any questions about OptiMed? Our specialist advisers are here to help.

Frequently asked questions

When you join a health network model, you choose your general practitioner from the list corresponding to the chosen model (OptiMed). You will need to consult this doctor first in the event of a medical problem. If necessary, the doctor will refer you to a suitable specialist.
 
By opting for a health network system, you will benefit from high quality medical care and help to contain rising health costs. This will allow you to benefit from a discount on your insurance premium!

The compulsory insurance (AOS/OKP) covers a maximum of six nutritional advice sessions per medical prescription. If additional sessions are required, the prescription can be renewed.

Yes, anyone legally resident in Switzerland must take out compulsory health insurance within three months of taking up residence or being born. If the person in question does not sign up on their own or if they are not signed up by their legal representative within this period, they will be automatically registered by the canton or commune of residence.

In the event of an unjustifiable delay in signing up to the insurance, interest on arrears will be charged by the insurer.

See all FAQs
Groupe Mutuel

Rue des Cèdres 5 Case postale, 1919 Martigny    |    +41 0848.803.111